| NPI | 1942446406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03319914) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0005450) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2012-11-29 |